Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY ELLEN DICKINSON C-PNP
NPI 1356334429
Nurse Practitioner - Pediatrics in Brockton, MA

Active since August 24, 2005
370 OAK ST, SUITE A, BROCKTON, MA 02301(508) 584-1234(508) 584-0230 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Ellen Dickinson C-pnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ELLEN DICKINSON C-PNP (NPI 1356334429) is an individual pediatrics provider in Brockton, Massachusetts, licensed in Massachusetts (216258) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1356334429
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY ELLEN DICKINSONCredential: C-PNP
Location Address370 OAK ST, SUITE ABrockton, MA 02301-1341
Mailing Address91 Upland RdPlympton, MA 02367-1602 · (781) 585-1631
Fax(508) 584-0230
Sole ProprietorNo
Enumeration DateAugust 24, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1356334429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MA · 216258
370 OAK ST, Brockton, MA 02301

Other Identifiers 1

Other70010000NP9823MA · Blue Cross Blue Shield

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
370 OAK ST
BROCKTON, MA 02301
Pediatrics
370 OAK ST, SUITE A
BROCKTON, MA 02301
Social Worker
370 OAK ST
BROCKTON, MA 02301
Pediatrics
370 OAK ST, SUITE A
BROCKTON, MA 02301
Pediatrics
370 OAK ST, SUITE A
BROCKTON, MA 02301
Social Worker (Clinical)
370 OAK ST
BROCKTON, MA 02301
Pediatrics
370 OAK ST, SUITE A
BROCKTON, MA 02301
Obstetrics & Gynecology (Gynecology)
370 OAK ST
BROCKTON, MA 02301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ellen Dickinson's NPI number?

The NPI number for Mary Ellen Dickinson is 1356334429. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Mary Ellen Dickinson located?

Mary Ellen Dickinson practices at 370 Oak St Suite A, Brockton, MA 02301. The listed phone number is (508) 584-1234.

What is Mary Ellen Dickinson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mary Ellen Dickinson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.